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1. Applicant Information


Photo:

Full Name:

Date of birth:

Place of birth:

T.C. Identity number:

Marital status:

Name of School:

Grade:

Address of School:


2. Residential Information



Address:

Phone:

Mobile:

E-Mail:

Residence address:

Residence Phone:

Residence Mobile:


3. Parental Information



Father’s Full Name:

Date of birth:

Place of birth:

T.C. Identity number:

Is he alive?:


Yes
No

Is he currently employed:


Yes
No

Father’s Profession:

Name of employer:

Address of employer:

Phone:

If he is retired, name of last employer:

Mother’s Full Name:

Date of birth:

Place of birth:

T.C. Identity number:

Is he alive?:


Yes
No

Is he currently employed:


Yes
No

Mother’s Profession:

Name of employer:

Address of employer:

Phone:

If he is retired, name of last employer:

Are your parents…?


living together
separated
divorced

Brothers and Sisters


4. Financial Information



Who are the members of the family that contribute to family income?
Annual net income of father (salary, pension, rents, etc.):
Annual net income of mother (salary, pension, rents, etc.):
Annual net income of brothers/sisters(salary, pension, rents, etc.):

Does the family own their residence?


Yes
No

If so, its current value:

Does the family live in a rental unit?


Yes
No

If so, the amount of monthly rent

Other real estate(s) owned by the family:

Annual income generated by those:

Other family income:

Total family annual income:

Are there vehicles owned by the family members?


Yes
No

If yes:

 

 

Long term debts of the family related to real estate, vehicles, etc. Have you in the past benefitted from or currently receiving any scholarships or other forms of financial aid?


Yes
No

If no, are you authorized to work in the U.S.?


Yes
No

Have you taken part in social responsibility projects?


Yes
No


If yes, describe the activity and indicate the organization, its leaders and address
During high school what academic areas have you concentrated on and why?
Describe sports activities you may have engaged in school or outside
What are your hobbies?

5. Are there any comments you want to add to your application?

Comments:

6. Disclaimer and Signature



I certify that my answers are true and complete to the best of my knowledge. I understand that false or misleading information in my application or interview may result in cancellation of Scholarship.
Signature:
Date:

Documentation


Applicants should attach to this form ;

Certified lycee transcripts up to and including the previous semester, indicating courses, grades, rankings

Any relevant document about special awards, achievements, activities, etc.

Recommendations from two teachers one of whom should be teaching a course the applicant is taking in the current year

A 400 word essay explaining your objectives and plans for university studies

Candidates selected to a short list will be asked to attend an interview in English where they may be asked to write a short essay.

Finalists may be asked detailed documentation about their financial situation